Jacobs, Cheryl Ann

Jacobs, Cheryl Ann is an individual health care provider with primary practice located at 970 W Wooster St Rm 130 , Bowling Green OH 43402-2652. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jacobs, Cheryl Ann can be contacted via phone (419) 352-6890.

Contact Information

Primary practice address
970 W Wooster St Rm 130 Bowling Green OH 43402-2652
Phone: (419) 352-6890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN 186729 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP10125 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP10125 Ohio

Profile Details

NPI number 1790939924
LBN Legal business name Jacobs, Cheryl Ann
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Mar 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790939924 NPPES
Ohio MEDICAID 2971566

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